| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A4239 |
Supply allowance for non-adjunctive, non-implanted continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service |
961 |
955 |
$193K |
| E2103 |
Non-adjunctive, non-implanted continuous glucose monitor or receiver |
47 |
47 |
$10K |
| K0553 |
Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service |
141 |
119 |
$7K |
| A4230 |
Infusion set for external insulin pump, non needle cannula type |
38 |
38 |
$5K |
| A4232 |
Syringe with needle for external insulin pump, sterile, 3 cc |
13 |
13 |
$412.20 |